Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $309.57 / $699.56	Facility		$122.15	$309.57	$699.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.51 / $290.58 / $335.75	Professional		$209.51	$290.58	$335.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.64 / $662.77 / $1,065.50	Facility		$264.64	$662.77	$1,065.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $289.18 / $289.18	Professional		$86.75	$289.18	$289.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.33 / $334.42 / $700.00	Facility		$263.33	$334.42	$700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,398.52 / $1,398.52 / $1,398.52	Professional		$1,398.52	$1,398.52	$1,398.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $637.91 / $2,894.15 / $2,894.15	Facility		$637.91	$2,894.15	$2,894.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,521.55 / $1,555.83 / $2,509.65	Professional		$1,521.55	$1,555.83	$2,509.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.58 / $307.33 / $616.04	Facility		$201.58	$307.33	$616.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.36 / $277.36 / $277.36	Professional		$277.36	$277.36	$277.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.40 / $309.33 / $616.04	Facility		$232.40	$309.33	$616.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $272.26 / $506.17	Professional		$40.70	$272.26	$506.17
United Facility/Professional Professional Modifier Low / Median / High Price $258.68 / $323.36 / $578.16	Professional		$258.68	$323.36	$578.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $305.32 / $305.32 / $412.18	Professional		$305.32	$305.32	$412.18